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SPRING 2009 



SPECIAL 



ucation 




Icohol, Tobacco and Other Drugs 



i y 4 j j ^ j u j 



E 



lie 




Social Norms Marketing Campaigns 
on Campus: What the Research Shows 



How Old Should You Be- 
To Buy Alcohol?? 



Be Prepared! 



Not So Sexy 

According to a recent 
study women appear, 
erroneously, to believe 
that men find excessive 
drinking sexually attrac- 
tive and appealing. It 
found that 71 percent of 
women surveyed at two 
universities overestimated 
the men's actual prefer- 
ence of drinks at any 
given event. The women 
overestimated by an 
average of one-and- 
a-half drinks. When the researchers looked 
at the different subgroups, 26 percent of 
women said that men would most likely 
want to be friends with a woman who 
drinks five or more drinks and 1 6 percent 
said that men would be most sexually 
attracted to a woman who drank that much 
alcohol. Both estimates were nearly double 
what the men actually preferred. They 
also found the women who overestimated 
the men's preferences were more likely to 
engage in excessive drinking ("What men 
want: The role of reflective opposite-sex 
normative preferences in alcohol use 
among college women". Psychology of 
Addictive Behaviors, Vol. 23, No. 1, 2009). 

"Although traditionally, men drink more 
than women, research has shown that 
women have steadily been drinking more 
and more over the last several decades," 
said the study's lead author, Joseph LaBrie, 
PhD, associate professor of psychology at 
Loyola Marymount University. "There is a 
great, and risky, disconnect here between 
the sexes. While not all women may be 
drinking simply to get a guy's attention, 



this may help explain why more women are 
drinking at dangerous levels. We believe uni- 
versities and other public health organiza- 
tions could use this information to help curb 
binge drinking among young women." 

More Time Drinking than Studying? 

According to a survey of over 30,000 stu- 
dents who participated in a Fall 2008 online 
survey at AlcoholEdu®for College, first-year 
college students who used alcohol drank 
an estimated 10.2 hours per week, com- 
pared to studying only 8.4 hours per week. 
Students who drank represented 68.9 per- 
cent of the respondents. Of these, 49.4 
percent spent more time drinking alcohol 
than they did studying. The estimate of 
how much time first-year students spent 
studying was derived from several sources, 
including the Higher Education Research 
Institute's annual survey report, The 
American Freshman. 

"As student affairs professionals, we view 
the issue of college drinking as one of the 
biggestthreats to our effectiveness as educa- 
tors. Our hope is that this new finding will 
motivate allthose within the academy, and 
even the larger community, to join us as we 
redouble ourefforts to de-emphasize the 
role of alcohol in college life. Indeed, while 
comprehensive prevention programming 
has always been an imperative, it is clearly 
now more important than ever," Gwendolyn 
Jordan Dungy, PhD, executive director of the 
National Association of Student Personnel 
Administrators, told Science Daily (Mar. 11, 
2009). 

The study, which was conducted by 
researchers at Outside The Classroom, was 
presented at the 2009 NASPA Strategies 



Conference: Alcohol Abuse Prevention 
& Intervention, held January 22-24 in 
Boston. 

Alcohol in the Media and Drinking 
Behavior 

Whether portrayals of drinking and alcohol 
advertising in movies or on television impact 
drinking behavior has long been the subject 
of debate among researchers and alcohol 
control advocates and the alcohol industry. 
Now a new Dutch and Canadian study of 
male university student's drinking behavior 
while watching an hour of TV (a movie clip 
with ad breaks) found that, compared to 
those who did not see much alcohol por- 
trayed on screen, those who saw alcohol 
portrayed frequently, on average consumed 
1 .5 more 200 ml bottles of alcoholic bever- 
age ("Alcohol portrayal on television affects 
actual drinking behaviour," Alcohol and 
Alcoholism, March 4, 2009). 

Lead author of the report Rutger Engels, 
professor of developmental psycho- 
pathology at the Behavioural Science 
Institute, Radboud University Nijmegen, 
The Netherlands, said: "This is the first 
experimental study to show a direct effect 
of exposure to alcohol portrayals on TV on 
viewers' immediate drinking behaviour." 

Engels said the study clearly showed that 
portraying alcohol in films and advertise- 
ments not only influenced people's atti- 
tudes about drinking within a culture or 
society, but might also have a direct effect 
on behavior, such as triggering a craving in 
people who already consume alcohol. The 
researchers said if their findings are repli- 
cated in other studies this should be a wake 
up call for policymakers. 

Continued on inside back cover 



Prevention File is a publication of the Silver Gate Group 
(Federal Tax ID: 33-0714724) 

Opinions expressed herein are those of the authors or other sources cited 
and do not necessarily reflect the beliefs of the Silver Gate Group, its 
editorial advisors, its officers or its personnel. 

Publisher: Tom Colthurst 

Editor: Barbara E. Ryan 

Editor Emeritus: Robert Zimmerman 

Contributing Editors: William Dejong, Jean Seager 

Design/Illustrations: John Lane 

Production: J. Lane E 



PREVENTION FILE 



Copyright 2009 by the Silver Gate Group. Permission to reprint 
articles is granted for noncommercial use and with acknowledgment. 
We would appreciate receipt of any publication carrying a reprinted 
Prevention File article. 

Comments and suggestions are welcome. 
Address letters to Prevention File, Silver Gate Group 
P.O. Box 420878, San Diego, CA 92142-0878 
Internet: tomc@silvergategroup.com 
http://silvergategroup.com 





SPECIAL EDITION: Prevention in Higher Education • Spring 2009 



COVER 

"POSTERS" 

by J. Lane Designs 



2 SOCIAL NORMS MARKETING CAMPAIGNS ON CAMPUS: 
WHAT THE RESEARCH SHOWS 

By William Dejong 

Social norms marketing campaigns to correct misperceptions of drinking norms 

are a popular prevention program on many campuses, but do they work? 

7 Q & A WITH FRAN HARDING 

The new director of the U.S. Center for Substance Abuse Prevention talks about 
interagency collaboration and prevention research. 

HOW OLD SHOULD YOU DE - TO RUY ALCOHOL?? 

Despite research evidence on the effectiveness of age 21 drinking laws, some are 
calling for change. 

13 TAXES AND HEALTH AND SAFETY 

Increasing interest in raising alcohol excise taxes. 

10 RE PREPARED! 

Every year colleges and universities are called upon to respond to a wide variety of 
emergency and crisis situations. 

20 ROOK REVIEW 

College Drinking: Reframing a Social Problem 

By George W.Dowdall 

A new book examines the broader cultural, organizational and social forces 

shaping drinking by college students. 

UPDATES 

Inside front and back covers. 



SPRING 2009 PREVE 



N T I N FILE I 




Campaigns 


1 FOR DECADES AMERICAN 


Social norms marketing (SNM) campaigns 


1 STUDENTS have been indoctri- 


are designed to correct misperceptions of 


on Campus: 


H 1 nated to believe that heavy drink- 
ing is a natural part of the college experience. 


campus drinking norms, the idea being that 
students will be inspired to drink less if they 


What the 


Alcohol advertising, films, television programs, 


know what the true drinking norms are. 


news stories, college lore — cultural messages 


Michael Haines at Northern Illinois University 


Research Shows 


from these many sources have contributed to 


implemented the first SNM campaign, and 


the widespread belief that students who don't 


annual surveys showing decreases in student 


by William Dejong 


drink won't fit in. 


drinking suggested that it might be working. 




The unfortunate result is that college stu- 


Other colleges — the University of Arizona, 




dents think there is much more drinking going 


Western Washington University, and Hobart and 




on than is actually the case. That misperception 


William Smith Colleges — soon touted similar 




has significant consequences, for the choices 


findings. 




students make about alcohol use are strongly 


None of these early studies included survey 




influenced by what they think other students 


data from control group institutions that did 




are doing, whether those impressions are 


not have a SNM campaign. Even so, the case 




accurate or not. 


studies told a compelling story: four campuses 
that had struggled for years to drive down stu- 



PREVENTION FILE 



HIGHER EDUCATION EDITION 



Social norms 

marketing (SNM) 

campaigns are 

designed to correct 

misperceptionsof 

campus drinking 

norms, the idea 

being that students 

will be inspired to 

drink less if they 

know what the true 

drinking norms are. 



dent alcohol use were now reporting a measure 
of success. Dozens of campuses soon began to 
experiment with this approach — some suc- 
cessfully, but some not. 

Clearly, there was a need for better research 
on social norms marketing. To meet this 
need, Laura Gomberg Towvim, Shari Kessel 
Schneider, and I launched the Social Norms 
Marketing Research Project (SNMRP) in 2000. 
Conducting this study took several years. 

Meanwhile, in 2002 and again in a 2007 
update, the National Institute on Alcohol Abuse 
and Alcoholism (NIAAA) Task Force on College 
Drinking classified this approach as a Tier 3 
strategy — meaning that it was "one of a 
number of popular strategies and policy 
suggestions make sense intuitively or 
have strong theoretical support." 
(4 Call to Action: Changing the 
Culture of Drinking at U.S. 
Colleges, NIAAA, 2002) The 
2007 NIAAA update character- 
ized SNM as "still promising, 
but results are mixed and 
questions remain" (What 
Colleges Need to Know 
Now: An Update on 



reasons for thinking that SNM campaigns 
might work, but the absence of rigorous evalu- 
ations involving control groups left the matter 
in doubt. 

Social Norms Marketing 
Research Project 

Beginning in 2000, my colleagues and I con- 
ducted two randomized trials to test whether 
SNM campaigns can reduce student drinking 
levels. In both studies, we randomly assigned 
half of the participating colleges to a treatment 
group, which conducted a three-year 
campaign. The 



Research, NIAAA, 

2007). There were 

both logical and theoretical 




SPRING 2009 PREVEN 



T I N FILE J 







remaining half constituted a non-intervention 
control group. All of the alcohol and other drug 
coordinators certified that their campus had 
never mounted a SNM campaign. 

The first study, involving 18 institutions, 
showed that the SNM campaigns had been 
effective. Across several survey measures, we 
saw that the level of drinking at the control 
group schools went up significantly, matching 
national trends reported by the Core Institute, 
while the intervention group schools showed 
no such increase. 

To our surprise, the second study, involving 
14 institutions, showed no differences between 
the intervention and control group schools. 

Richard Scribner and his colleagues at 
Louisiana State University helped us sort out 
what had happened. To begin, for each of the 
32 sites, we calculated the density of on-prem- 
ise alcohol outlets (bars, taverns, restaurants) 
within a three-mile radius of campus. Next, we 
compared how well the SNM campaigns did 
when the density was at or above the median 



(10.78 outlets per 
1,000 students) 
versus below the 
median. 
We found 
that the SNM 
campaigns did make a dif- 
ference at institutions located in communities 
with low outlet density, but failed to have an 
effect in communities with high density, just as 
Scribner had long ago predicted. 
This finding explained the dif- 
fering results for our two SNMRP 
studies. In the first, which showed 
that SNM campaigns can be 



If this is the explanation, then campus 
officials working in such a community would 
want to address the alcohol environment prior 
to launching a social norms marketing cam- 
paign. This could be done through environ- 
mental management strategies that reduce the 
number of outlets near campus, restrict alcohol 
marketing and promotion, and limit the times, 
places, and circumstances under which alcohol 
can be purchased and consumed, all measures 
supported by the NIAAA Task Force on College 
Drinking. 

The changes in A fU . kl 

Another possible explanation 

student behavior for the SNMRP results is that the 

reported OVer alcohol outlets— by their mere 



effective, 13 of the 18 institutions fllC COUTSG Of UllS presence, but also because of their 



were located in low-density com- 
munities. In the second study, a 
replication failure, 11 of the 14 
institutions were located in high- 
density communities. 

Why might SNM campaigns be less effective 
when there are several outlets near campus? 
One possibility is that high outlet density 
reduces student misperceptions of drinking 
norms. Having more alcohol outlets promotes 
drinking, but these outlets, by encouraging 
public drinking, might also give students more 
opportunities to observe and accurately perceive 
elevated student drinking levels in that campus 
community. If most students tend not to misper- 
ceive the norms, what could a SNM campaign 
be expected to achieve? 



intensive SNM 

campaign were 

dramatic. 



promotional advertising — com- 
municate messages that compete 
with the SNM campaign and rein- 
force student misperceptions of 
campus drinking norms. 
Consistent with this perspective, Tom 
Workman from the University of Houston- 
Downtown has suggested that SNM campaigns 
might be less effective anytime the student body 
puts a high cultural value on excessive alcohol 
use, which could be signaled by a large number 
of alcohol outlets. If this is the case, Workman 
explains, then before launching a campaign, 
practitioners should conduct a readiness assess- 
ment to see whether a campus community is 
ripe for a SNM campaign. 



PREVENTION FILE 



HIGHER EDUCATION EDITION 



It's important to note, however, that the 
SNMRP studies provided each campus with 
start-up funds of only $2,000 per year, with 
supplemental funds of $300 to $1,650 per 
campus awarded for the second and third 
years. It's entirely possible that we did not 
provide the colleges facing high alcohol 
outlet density with sufficient resources to 
mount an effective campaign. 



University of Virginia 
Evaluation 

A later study conducted at 

the University of Virginia by 

James Tamer, Wes Perkins, and 

Jennifer Bauerle supports the 

thesis that a large, highly visible 

SNM campaign can counteract 

an entrenched drinking culture 

and reduce alcohol-related ^^^^^ 

problems. 

The university's SNM campaign began in 
1999 with a focus on first-year students and 
then expanded in 2002 to include all under- 
graduates. The campaign messages corrected 
misperceptions about the quantity and fre- 
quency of alcohol use, while also communi- 
cating that most students practiced protective 
behaviors such as asking friends to slow down 
if they are drinking excessively, tending to a 
friend who had passed out, not allowing an 
intoxicated friend to drive, and using a desig- 
nated driver or alternative transportation. 



Social norms 

marketing 

campaigns 

should be 

part of any 

comprehensive 

effort to reduce 

college student 

drinking. 



The campaign grew over time. In 1999, staff 
introduced the campaign through a monthly 
series of posters. In 2002, the campuswide 
campaign was introduced, with weekly campus 
posters, newspaper ads and articles, and emails, 
plus staff and peer presentations in residence 
halls, Greek residences, and classrooms. In 
2003, the staff organized small group ses- 
sions for fraternity and sorority 
members and athletes. In 2004, 
the campaign began to host an 
annual music event. Facebook 
ads commenced in 2005. Parent 
orientation sessions started before 
the 2002-03 academic year. 
The study did not include 
any control group institutions. 
Nonetheless, the University of 
Virginia study has two strengths. 
^^^^^ First, survey data were collected 

annually from 2001 through 
2006. Second, no new policies or programs to 
address student drinking were launched at the 
institutional, community, or state level during 
this time. This convenient fact increases the 
likelihood that any observed changes were due 
to the SNM campaign and not to other initia- 
tives. That noted, alternative explanations — 
such as changes in the student body having 
nothing to do with the campaign — cannot be 
completely ruled out. 

The changes in student behavior reported 
over the course of this intensive SNM campaign 



were dramatic. According to annual survey data, in 
2001 only 33 percent of undergraduates reported 
experiencing none of ten negative consequences 
due to alcohol use, compared to 51 percent in 
2006, and while 44 percent experienced multiple 
negative consequences in 2001, only 26 percent did 
so in 2006. 

Nationally, alcohol-impaired driving is the 
primary cause of alcohol-related student deaths. 
In 2001, 27 percent of University of Virginia under- 
graduates said they had driven under the influence 
of alcohol, but in 2006 only 15 percent indicated 
this was the case. 

As Tlirner and his colleagues point out, national 
surveys of college students showed no decrease or 
even slight increases in several self-reported nega- 
tive consequences between 2001 and 2005. The 
University of Virginia's experience stands in stark 
contrast. 

Conclusion 

In my view, it is clear from recent research that 
social norms marketing campaigns should be part 
of any comprehensive effort to reduce college stu- 
dent drinking. 

The Social Norms Marketing Research Project 
showed that SNM campaigns are effective when 
the campus community has relatively low alcohol 
outlet density, but perhaps less so when the campus 
community has relatively high alcohol outlet den- 
sity. The University of Virginia study suggests, how- 
ever, that such campus communities may simply 
require more intensive campaigns. 



SPRING 2009 PREVEN 



T I N FILE 3 



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But that is not the whole story. Prior to its 
SNM campaign, the University launched several 
initiatives to change the environment in which 
students made decisions about their drinking, 
including: bolstering enforcement of alcohol 
rules, implementing parental notification, 
deferring Greek rush, eliminating celebratory 
drinking events, and training restaurant and 
bar servers. 

Tlirner and his colleagues report that these 
measures by themselves did not make a dent 
in the University's student drinking problem. 
It remains an open question, however, whether 
it was the SNM campaign by itself, or the cam- 
paign in combination with these environmen- 
tal change efforts, that made the difference later 



on. Learning the answer to that ques- 
^ e \ tion will require another randomized 
trial. 

William Dejong, PhD, is a 
0^ z \ professor of social and behav- 
ioral sciences at the Boston 
University School of Public 
Q\e^ \ Health and a senior advisor 

\0^- % to the Higher Education 

us\V^ \ Center for Alcohol and 

Other Drug Abuse and 
Violence Prevention. 
The Social Norms 
Marketing Research 
Project was funded by a grant from 
the National Institute on Alcohol Abuse and 
Alcoholism and the U.S. Department of 
Education (R01AA 12471). □ 

Editor's note: For additional information on 
A Call to Action: Changing the Culture of 
Drinking at U.S. Colleges (NIAAA, 2002) go 
to http://www.collegedrinkingprevention.gov/ 
NIAAACollegeMaterials/TaskForce/TaskForce_ 
TOC.aspx. For more information on What 
Colleges Need to Know Now: An Update on 
College Drinking Research (NIAAA, 2007) 
go to http://www.collegedrinkingprevention. 
gov/lCollege_Bulletin-508_36lC4E.pdf. 



PREVENTION FILE 



HIGHER EDUCATION EDITION 




WITH FRAN HARDING 



Fran Harding was appointed director 
of the U.S. Center for Substance Abuse 
Prevention in May 2008. Previously she 
served as associate commissioner of the 
Division of Prevention and Recovery, 
New York State Office of Alcoholism and 
Substance Abuse Services. In November 
2006, Harding was appointed by 
the U.S. Department of Education 
to serve on the Review Group for the 
Department's Higher Education Center 
for Alcohol and Other Drug Abuse and 
Violence Prevention. This eight-member 
panel advises the department on the 
development and implementation of 
effective alcohol and substance abuse 
and violence prevention resources for 
the nation 's institutions of higher edu- 
cation. In February 2008, Harding 
was appointed to the Council of Advisors 
for the Network Addressing Collegiate 
Alcohol and Other Drug Issues, a volun- 
teer organization developed by the U.S. 
Department of Education in 1987. 



As the new CSAP 
director, how do you 
think federal agen- 
cies can best work together 
to advance prevention on a 
national level? 

One of my goals at CSAP is to increase 
collaboration among federal agencies and 
encourage that same collaboration on the 
state and local levels. We are in a very exciting 
time as far as prevention goes, with growing 
acceptance of prevention within a public health 
approach for reducing substance abuse. If 
we are going to further advance that agenda 
we need to have all the federal government 
agencies that have a substance abuse preven- 
tion component, to use a common language. 
Delivering the same messages and focusing on 
alcohol and other drug abuse as public health 
issues will be a large contribution to the success 
of the new administration. 

While CSAP does not itself 
conduct research, it does seek 
to translate research to prac- 
tice through its Centers for 
the Application of Prevention 
Technology and other activi- 
ties. Can CSAP also help shape 
research agendas to help com- 



munities and states better 
understand what works at 
those levels? 

Absolutely. For example, I have established 
regular meetings with national research agen- 
cies, including the National Institute on Drug 
Abuse, National Institute on Alcohol Abuse 
and Alcoholism, and Society for Prevention 
Research, to discuss our overlapping agendas 
and interests. CSAP also has connections at the 
state level through the National Association 
of State Alcohol and Drug Abuse Directors, 
which helps us hear from constituents on the 
needs in the field when it comes to research, 
such as what do we need from the research- 
ers? Prevention in the 1990s received a lot of 
attention from the research community, which 
provided the science that forms the basis for 
the evidence-based practices and strategies that 
underpin current prevention and intervention. 
Now we need to advance research on envi- 
ronmental approaches that are effective with 
general populations. We need those program 
models and strategies so that we can better help 
the field. 

In addition, CSAP and NIDA have set up four 
symposia for CSAP staff to discuss the current 
trends and research. During the first session, 
NIDA wanted to know from CSAP what research 
was needed from the perspective of those work- 

SPRING 2009 PREVENTION FILE / 



ing in the prevention field. We are also working 
with SPR the same way. For example, college 
students are one of the high-priority popula- 
tions where additional research is needed. 
Those working in higher education need a 
better understanding of how best to change 
normative attitudes around alcohol on their 
campuses. I would like to see more research 
that examines the effectiveness of adopting and 
enforcing policies and then tying ^^^^^ 
them in with campus and com- 
munity prevention strategies. 



CSAP, NIAAA, and 
the Department of 
Education have advo- 
cated for environ- 
mental management 
initiatives to reduce 
high-risk drinking 
among college stu- 
dents. While some 
progress has been 
made in reducing 
problems on campuses 
and surrounding com- 
munities, there are still 
barriers implementing 
such initiatives. What do you 
think can be done to overcome 
those barriers? 

It will take time and persistence. For 
example, when we talk about changing cul- 
tural and social norms regarding alcohol and 
other drug use, we need to share the evaluation 
data on the implementation of successful evi- 
dence-based programs that have, in fact, begun 
to change those norms. People working in 
prevention often feel that they have no power to 



I would like 

to see more 
research that 
examines the 
effectiveness 

of adopting 
and enforcing 

policies and 



make changes, but if they understand the inter- 
relationship between adopting and enforcing 
evidence-based environmental policies — such 
as reducing alcohol availability — and other 
activities aimed at changing the normative 
attitudes and behaviors of students, they will 
see that they do have the power needed to move 
forward. We need a consistent message that 
environmental-management strategies have to 
^^^^^ be matched with specific interven- 
tion programs. But, we must also 
examine where the drugs and 
alcohol are coming from in order 
to change the environment to 
make them less available to 
young people. 



Based on your almost 
three decades of expe- 
rience working in the 
then tying them alcohol and other drug 

in with campus f ield - what do y° u 
and community thinkthemostsi 9 

prevention 
strategies. 



nificant advances have 
been over those three 
decades? What do you 
think are the next big 
challenges? 
Without a doubt, the most significant 
advances have been in prevention research. We 
now have models, such as the logic model to 
guide the planning process of how to assess an 
environment, a community, a school, a family, 
and an individual to determine problems and 
needs. We can then rank the priority need and 
use the evidence-based practice or promising 
program model that matches up with that 
need in order to reduce or mitigate problems or 
risks. In the past, we have not been able to be 



that specific. For many years, people questioned 
whether prevention was successful. Now we have 
evaluation and research evidence to show that 
what we are implementing actually achieves 
results. That has turned heads in the community 
because we now have data that supports 
prevention. 

The second piece is helping communities and 
prevention practitioners learn how to use that 
data. It is very powerful to be able to use data to 
show if you do X, Y, and Z, then this is what you 
can expect to happen. 

I think that next big challenges will be get- 
ting more people to believe in this process and 
become active participants in health care reform. 
Prevention of alcohol and substance abuse — on 
college campuses or anywhere in the United 
States — needs to be part of the conversation 
around health care reform to help people under- 
stand that it is a public health response to a 
chronic progressive disease. We need people to be 
comfortable with the idea that this is something 
that we can prevent. We can prevent the disease of 
alcoholism and substance abuse. We can prevent 
problems related to alcohol and substance abuse 
on a college campus. We can do all of this if we 
help people understand that there is a logic to 
changing the attitudes and behaviors and inter- 
vening when necessary to stop problems. It is not 
good enough for us to know the science of effec- 
tive prevention. We have to help everyone across 
the country speak the same common language 
about substance abuse prevention. I would like 
people to have dinner table conversations about 
what they can do themselves to lower the risk for 
alcohol and substance abuse or related problems 
in their families and communities. LJ 



8 



PREVENTION FILE 



HIGHER EDUCATION EDITION 



HOW OLD SHOULD YOU BE— TO BUY ALCOHOL? 



At the repeal 

of Prohibition 

states were 

given the 

authority to 

set minimum 

alcohol 

purchase 

ages, among 

other types 

of alcohol 

control 

policies. 




CURRENTLY ALL 50 STATES 
limit alcohol purchases to people 
aged 21 and over. But that hasn't 
always been the case. In fact, it was July 17, 
1984, when President Ronald Reagan signed 
the national 21 minimum drinking age legisla- 
tion into law, saying "... raising that drinking 
age is not a fad or an experiment. It's a proven 
success. Nearly every State that has raised the 
drinking age to 21 has produced a significant 
drop in the teenage driving fatalities." 

At that time only 23 states had minimum 
alcohol purchasing ages of 21 years old. The 
legislation called for withholding federal high- 
way funds from the remaining 27 states if they 
did not follow suit. By 1988, all states had set 21 
as the minimum drinking age. 



At the repeal of Prohibition states were 
given the authority to set minimum alcohol 
purchase ages, among other types of alcohol 
control policies. Nearly all designated 21 as 
the minimum legal drinking age, but between 
1970 and 1975 29 states lowered the MLDA to 
18, 19, or 20. That's also when the minimum 
age for other activities, such as voting, were 
also lowered. 

Then several studies in the 1970s found that 
motor vehicle crashes increased significantly 
among teens when the MLDA was lowered. 
With evidence that a lower drinking age 
resulted in more traffic injuries and fatalities 
among youths, citizen advocacy groups, such 
as Mothers Against Drink Driving, pressured 
states to restore the MLDA to 21. Because of 




President Ronald Reagan signs the minimum drinking age bill into law. 



SPRING 2009 PREVEN 



T I N FILE J 



Now, 25 years 

later the 21 

HILDA has come 

under fire from 

a former college 

president who 

maintains that it 

"hasn't reduced 

consumption but 

has only made it 

riskier." 



such advocacy, 16 states increased their MLDAs 
between September 1976 and January 1983. 
Resistance from other states, along with con- 
cern that minors would travel across state lines 
to purchase and consume alcohol, prompted 
the federal government in 1984 to enact the 
Uniform Drinking Age Act, which mandated 
reduced federal transportation funds to those 
states that did not raise the MLDA to 21. 

Among alcohol control policies, the MLDA 
has been the most studied: since the 1970s, at 
least 70 studies have examined the effects of 
either increasing or decreasing the MLDA. 

Now, 25 years later, the 21 MLDA has come 
under fire from a former college president who 
maintains that it "hasn't reduced consump- 
tion but has only 
made it riskier." 
^i In 2007 John 
McCardell, 
former 
president of 




Middlebury College (1992-2004), started an 
organization called Choose Responsibility to 
wage a national campaign to lower the drink- 
ing age to 18. Then, in early 2008 he started the 
Amethyst Initiative, a collective of college presi- 
dents and chancellors who are calling upon 
elected officials "to weigh all the consequences 
of current alcohol policies and to invite new 
ideas on how best to prepare young adults to 
make responsible decisions about alcohol use." 
At press time, the Amethyst Initiative had 135 
signatories, including the presidents of such 
top-tier schools as Duke, Ms, Dartmouth, 
and Johns Hopkins. But with colleges and 
universities numbering over 4,000 nationwide, 
Amethyst supporters are just a drop in the 
bucket. 

Mediterranean versus Animal 
House Style of Drinking 

This effort by college presidents urges national 
dialogue about policies that encourage adop- 
tion of the so-called Mediterranean drink- 
ing style. William G. Durden, president of 
Dickenson College and one of the co-authors of 
the Amethyst Initiative's presidential statement, 
said: "Perhaps the United States should act like 
countries with lower drinking ages, which have 
less of a problem with abusive drinking among 
youths but require stricter alcohol and drinking 
education in a nationally consistent manner, 
and inflict severe punishments on those 
who drink and drive" {Chronicle of Higher 



PREVENTION FILE 



HIGHER EDUCATION EDITION 




John Belushi in Animal House 

Education, Aug.27, 2008). 

At the American Public Health Association 
Annual Meeting in November 2008, Tom Babor, 
PhD, chair of the Department of Community 
Medicine and Health Care at the University 
of Connecticut, characterized Mediterranean 
drinking as follows: 

• Early introduction of youth to drinking in a 
family environment that accepts alcohol as 
a beverage and a nutrient, mainly to be con- 
sumed at meals 

• Low to moderate quantities per occasion 

• Many situations where drinking is normative 



• Informal social control 
of drinking 

• Alcohol integrated into 
the daily conduct of 
social life 

In contrast, Babor 

describes U.S. student 

drinking as the Animal 

House Drinking Style 

with: 

• High quantities per 
occasion 

• Many situations where 
excessive drinking is 
normative 

• Little social control of 
heavy drinking 

• Alcohol consumed to 
get drunk 

• Little integration with 
daily conduct of social 
life 

Babor says that this 
style of drinking is a outgrowth of what he calls 
the Animal House Initiative. "This is an effort 
by college students, facilitated by the alcohol 
beverage industry, to promote drinking as a 
normative rite of passage. The initiative is part 
of a global trend to make alcohol more conve- 
nient, attractive and available to young people 
through new product development, aggressive 
marketing targeted at young adults, and indus- 
try opposition to effective alcohol policies." 

In fact, he points out that while there is a 
Mediterranean style of drinking, there is also 
a pronounced trend towards the homogeniza- 



tion of drinking styles within Europe. In addi- 
tion, being from a European Country with a 
lower drinking age is not protective for youth 
risky drinking. In examining findings from 
The ESPAD report 2003: Alcohol and other 
drug use among students in 35 European 
countries ^Swedish Council for Information on 
Alcohol and Other Drugs and Council of Europe 
Pompidou Group, 2004) and Monitoring 
the Future national results on adolescent 
drug use 2003 (National Institute on Drug 
Abuse, 2004), Babor says that youths from 
most European countries are more likely to 
report drinking and intoxication and are more 
likely to report earlier age of first intoxication. 
And, U.S. youths are most similar to European 
youths from Portugal, France, Tbrkey, Hungary, 
and Sweden, which have low-frequency/low- 
intoxication patterns of consumption. 

Babor contends that these finding fly in the 
face of contentions by those who support lower- 
ing the MLDA that compared with Europe, the 
higher drinking age in the United States makes 
alcohol a forbidden fruit and causes U.S. youths 
to drink in riskier situations and in riskier 
styles. 

Not Traffic Safety Alone 

The National Highway Traffic Safety 
Administration says: "Perhaps no alcohol 
safety measure has attracted more research 
and public attention or shown more consistent 
evidence of effectiveness than the minimum 
legal drinking age (MLDA) 21 law in the United 

SPRING 2009 PREVENTION FILE II 



States (4n Examination of the 
Criticisms of the Minimum Legal 
Drinking Age 21 Laws in the 
United States from a Traffic- 
Safety Perspective, October 2008). 

But the positive effect of the 
21 MLDA is not limited to traffic 
safety. A number of studies have 
found that the 21 MLDA has also 
reduced alcohol consumption 
among 18 to 20 year-olds and is 
associated with reductions in other 
problems among underage youths, 
such as alcohol-related suicide 
and vandalism. And one review 
of MLDA studies concluded that 
"the benefits of the legal drink- 
ing age of 21 have occurred with 
little or no active enforcement in 
most areas. Simply by increasing 
enforcement levels and deterring 
adults from selling or providing alcohol to 
minors, even more injuries and deaths related 
to alcohol use among youth are likely to be 
prevented each year" (Journal of Studies on 
Alcohol — College Drinking, What It Is, and 
What To Do about It: A Review of the State of 
the Science, Supplement No. 14, March 2002). 

What Is To Be Done? 

While the college president's signing on to the 
Amethyst Initiative are "calling for a dialogue," 
McCardell describes a very specific alternative to 
the 21 MLDA for 18 to 20 year-olds. Those who 
take — and pass — a 40-hour alcohol education 
course and participate in 12 hours of commu- 
nity education, such as interviewing a recover- 



It is ironic that 
these campus 
leaders call for 
18- to 20-year- 
olds to choose 
responsibility; 

when it is 

these college 

presidents who 

have shirked their 

responsibility 

to counter the 

dangerous 

binge-drinking 

culture that has 

developed on 

campuses. 



ing alcoholic, can obtain a 
so-called "drinking license" 
modeled after state sanctioned 
driver's licenses. 

But NHTSA says that there 
is no evidence to suggest that 
lowering the drinking age to 18 
for those who complete an edu- 
cation program will reduce the 
likelihood of their drinking and 
driving, let alone make them 
a more responsible drinker. In 
addition, studies have shown 
that traffic safety education 
efforts alone are very good at 
raising awareness, but that in 
many cases they do not lead to 
behavior change. 

In addition, in Call to Action 
(2002) the National Institute on 
Alcohol Abuse and Alcoholism 
places prevention strategies that are informa- 
tional, knowledge-based, or values clarification 
about alcohol and the problems related to its 
excessive use, when used alone, in what it calls 
"Tier 4: Evidence of Ineffectiveness." 

At the 2008 APHA Annual Meeting, Robert 
Saltz, PhD, senior research scientist at the 
Prevention Research Center in Berkeley, pre- 
sented an overview of prevention research 
aimed at reducing high-risk drinking. He said 
that current research demonstrates that "we 
have the ability to create environments that 
help teens and young adults make healthy 
decisions about alcohol consumption. We have 
ample evidence that these strategies are effective 
and our greatest impact will come from adopt- 



ing mutually-reinforcing policies and practices, 
including the 21 MLDA." 

The 21 MLDA enjoys wide popular support, with 
only 22 percent of respondents in the 2008 
Nationwide Insurance Underage Drinking Survey 
agreeing that legal drinking age should be 
lowered from 21 to 18. But 75 percent said that 
there should be increased enforcement of under- 
age drinking laws. As part of a national strategy 
to reduce underage drinking, the Institute of 
Medicine called for increased compliance with 
state minimum legal drinking age laws, saying 
that states should eliminate loopholes in mini- 
mum drinking age laws and states and localities 
should increase compliance through a range 
of strategies to limit commercial and social 
availability (Reducing Underage Drinking: A 
Collective Responsibility, September 2003). 

Commenting on the Amethyst Initiative in the 
Los Angeles Times (Aug.27, 2008) Robert Nash 
Parker, PhD, co-director of the Presley Center 
for Crime and Justice Studies at the University 
of California, Riverside, says. "It is ironic that 
these campus leaders call for 18- to 20-year-olds 
to 'choose responsibility,' when it is these college 
presidents who have shirked their responsibility 
to counter the dangerous binge-drinking culture 
that has developed on campuses. Research spon- 
sored by the National Institute on Alcohol Abuse 
and Alcoholism has shown that there are effective 
strategies that will reduce student binge drinking. 
Instead, the presidents seem to have settled on 
approaches that will increase profits for alcohol 
companies at the expense of young people's lives 
and health. Until they do their homework, they get 
an F in public policy." \~3 



12 



PREVENTION FILE 



HIGHER EDUCATION EDITION 



TAXES 



HEALTH 




SAFETY 



DOZENS OF STATE GOVERN- 
MENTS this year are facing 
budget deficits that make a 
strong case for alcohol tax increases that serve 
a dual purpose: helping solve a state's fiscal 
problems while at the same time reducing the 
impact of alcohol consumption on the cost of 
protecting the public health and safety. 

The Wall Street Journal reported early this 
year that many state governments are facing 
their largest deficits in a generation. The 
problem is blamed on falling tax revenues 
combined with a rising demand for social 
assistance programs. Unlike the federal gov- 
ernment, which can operate at a defi- 
cit, state governments 
are required to 
balance their 
budgets. 





>A 



Philip J. Cook, PhD, professor of public policy 
and economics at Duke University, says as many 
as 40 states may be exploring the possibility of 
increasing alcohol taxes. "Many of the states 
are desperate," he told Prevention File. "This 
might be the moment when it's possible to 
overcome the political power of the hospitality 
industry, the beer distributors and other alcohol- 
based industries." 

Those industries are well aware that the odds 
may be shifting against them. The Wall Street 
Journal reported in January that the Distilled 
Spirits Council of the United States (DISCUS) 
is enlisting restaurant and hotel associations as 
allies to combat tax proposals. "This will be an 
extremely tough year," said Peter H. Cressy chief 
executive of DISCUS. 

Helping make it a tough year for DISCUS is 
an accumulation of evidence that nudging alco- 
hol taxes upward will not only help states with 
their financial problems but will also help soci- 
ety at large. Studies have shown that increases 
in the price of alcohol can reduce drinking and 
driving and its consequences, lower the fre- 
quency of diseases, injuries and deaths related 
to alcohol use and abuse, and reduce alcohol- 
related violence and other crime. 

A vast amount of research confirms the 
connection between alcohol prices and 

alcohol consumption. Alexander 
C. Wagenaar, PhD, a 
professor of epi- 
demiology at the 
University of Florida, 
reported early in 2009 
that a review of studies 
spanning four decades has 



confirmed the price-consumption connection. 
"Results from over 100 separate studies report- 
ing over 1,000 distinct statistical estimates are 
remarkably consistent, and show without doubt 
that alcohol taxes and prices affect drinking," he 
said in a report published in the \omml Addiction 
(February, 2009) • "When prices go down, people 
drink more, and when prices go up, people 
drink less." 

The case for raising alcohol taxes is also 
compelling for historical reasons. In most states, 
alcohol taxes have not been increased for many 
years. Moreover, the taxes are usually levied on the 
volume of alcohol sold — not its value. Inflation 
has eroded the real value of per-gallon or per- 
barrel taxes on beer, wine and spirits until they 
are negligible in relation to the retail price of the 
product. And during the years that taxes have 
remained low, the cost of dealing with the conse- 
quences of alcohol consumption have 
risen steadily. 

Cook demonstrates how alcohol tax policies 
have actually reduced the real price of alcoholic 
beverages. He points out that Congress in 1951 set 
the federal alcohol tax at $1.68 per fifth of distilled 
spirits. In today's dollars, that's the equivalent of 
$13.50 per fifth. "But Congress has only succeeded 
in raising the tax twice since 1951, and by meager 
amounts, so that instead of $13-50, the current tax 
is just $2.16 per fifth. The result is that the current 
price of a bottle of spirits is over $10 lower than it 
would have been if Congress had simply indexed 
the tax to the Consumer Price Index and then left 
it alone," says Cook, whose bookPaying the Tab 
(Princeton University Press, 2007) chronicles the 
history of America's frustrating effort to develop 
rational alcohol policies. 



SPRING 2009 PREVENTION Fl 



LE 13 



Cook told Prevention File that alcoholic 
beverage producers appear to be basing an 
anti-tax campaign on the argument that the 
hospitality industry is suffering more than 
some others from the nation's economic 
downturn and it would be unfair to saddle 
it with higher alcohol taxes. ^^^ 

"Actually, they're using the same 
argument they've always led SllOWfl that 



Interest in raising state alcohol taxes ranges 
from coast to coast, with the alcohol and hos- 
pitality industries mobilizing for a fight. Gov. 
Arnold Schwarzeneggar proposed a "nickel a 
drink" tax increase on beer, wine and distilled 
spirits in California, triggering a cry from 
^^^^^^^^^^ m DISCUS that this would cause the 
StlldieS have i oss f 20,000 jobs in the state. In 
New York, Gov. David Peterson is 



>/*"•** 



with — that there are a lot of jobs JHCrGBSGS 111 HlG P ro P osin g a similar tax increase, 

that depend on alcohol, that it's an nHpp flf AlPflhfll hoping 1° head off protests from 

can reduce 
drinking and 



important industry in every state 
and congressional district, so we'd 
best leave it alone." 

When an alcohol tax increase 
is tied in with support of a public 
health goal, such as expanding ^^^™ 
treatment opportunities for people 
with alcohol dependence, the industry's 
argument about job losses is weakened, Cook 
points out. "If employment falls in the alcohol 
industry as a result of the tax, it will increase 
in other industries getting new support from 
the tax." 



New York's vintners by proposing 

also that a state law now limiting 

the sale of wine to liquor stores be 

drMng and itS changed to allow wine to be sold 

COnSCQUenCeSp in grocery stores. Kentucky is con- 

^^^^^ m sidering a tax increase that would 

add 25 cents to the cost of a six- 
pack of beer. Wisconsin legislators have received 
a proposal to raise alcohol taxes in order to 
raise the pay of district attorneys and hire more 
assistant DAs. In Wyoming, where alcohol taxes 
have not been changed 
since 1935, legislators 
are considering an 
increase to finance 
programs to 
reduce underage 
drinking and 




other alcohol-related social problems. Early in 2008 
Maine's legislature passed a bill doubling state taxes 
on beer and wine to raise revenue for health care. 
With help from the alcohol industry, opponents 
of the tax increase waged a successful initiative 
campaign to repeal the measure in the election last 
November. 

Some states trying to relieve budget shortfalls are 
looking toward alcohol tax revenue from a different 
vantage point. Last year, Colorado lifted a ban on 
Sunday sales of distilled spirits with the expectation 
of a 7 percent increase in alcohol tax collections. 
Similar policies have been proposed or adopted 
in several other states that otherwise limit Sunday 
sales. Those states which permit "local option" 
to set the rules for alcohol sales within specific 
counties are considering a change for the sake of 
increasing the state's revenue from alcohol taxes. As 
prevention advocates point out, policies that make 
alcoholic beverages more available for the sake of 
collecting more tax revenue could be self-defeating. 
Gains in tax collections would be offset if not wiped 
out by increases in the cost of law enforcement, 
medical care and other consequences of alcohol 
consumption. 

"We're getting daily requests for assistance and 
information about alcohol taxes from a great vari- 
ety of places," says George Hacker, JD, director of the 
Alcohol Policies Project of the Center for Science in 
the Public Interest. 

Hacker told Prevention File he believes that 



14 



PREVENTION FILE 



HIGHER EDUCATION EDITION 



Alcohol Policy 15 

Policies for Reducing Problems Associated 
With Alcohol Availability 

The 15th in a series of conferences on the avoidance of alcohol-related problems 
using public policy strategies 



When? 



TBA during either the second half of 2010 or first half of 201 1 



Where? 



Washington, DC (tentative) 



Hi 


- 



Why now? 



The new federal administration has signaled a renewed interest in science and public health. Meanwhile, states and localities are facing increased demand 
for public services in the face of declining revenues. Evidence-based alcohol policy can reduce alcohol problems and resultant social costs, simultaneously 
generating revenue (alcohol excise taxes and other user fees) to promote public health and safety. 



Who should attend? 



We welcome an anticipated attendance of up to 300 participants, including community-based practitioners, public officials, and researchers from across 
North America and beyond. 



More information 



Call for abstracts, scholarship availability, exhibit opportunities, and accommodations forthcoming via silvergategroup.com/apl5. Reach Silver Gate 
Group staff by e-mail -tomc@silvergategroup.com 



backers of alcohol tax proposals would be wise to 
adopt a two-pronged strategy, pointing out that 
the tax increase would not only help balance 
a state budget but would also help the state's 
economy by providing funds for treatment and 
prevention of alcohol problems. "Many treat- 
ment programs are now being threatened by the 
squeeze on state budgets. Those programs can 
move people from dependence to a more active 
and productive involvement in society," he said. 

"It varies by local and state politics, but in 
terms of public support an alcohol tax increase 
has the greatest amount of public backing 
when it's tied to some beneficial use — such as 
rehabilitating addicted people in the criminal 
justice system, or reducing underage drinking, 
or enforcing rules against intoxicated driving. 
People generally don't like to see the money just 
poured into the deep, dark hole of government." 

A proposed tax increase can gain 10 to 15 



percent in public support when it would provide 
funds for a beneficial use, says Hacker. CSPI 
reports that in one national survey nearly 
73 percent of adults supported an increase 
in the tax on beer to pay for substance abuse 
programs. 

What about federal taxes on alcohol? While 
Congress is not under constitutional pressure 
to adopt a balanced budget, alcohol taxes 
often come up for review when red-ink budgets 
are looming, Hacker says. The Congressional 
Budget Office has offered the option of increas- 
ing the federal tax on distilled spirits by 
about 20 percent — raising it to $16 per proof 
gallon — and then equalizing the tax on beer 
and wine on the basis of their alcohol content. 
"That would raise about $28 billion over five 
years, and my guess is that it will get more 
discussion and attention this time in Congress 
than in previous years," says Hacker. "But the 



industry is not going away. It has a significant 
political presence in Washington, but perhaps its 
influence with the new administration may not 
be as great as it has been in the past." 

Although for a growing number of people, 
increases in alcohol excise taxes seem to be a 
good way to alleviate budget deficits, It's still a 
hard sell. In California the proposed increase 
didn't make it into the Governor's budget. But the 
state could still generate an additional $1.2 bil- 
lion in revenue annually by increasing its excise 
tax on alcohol if a new bill proposed by San Jose 
Assemblyman Jim Beall becomes law. His bill 
would increase the tax by approximately 10 cents 
per drink for beer, wine and distilled spirits, rais- 
ing the tax on alcohol for the first time since July 
1991. Beall says the tax money would be devoted 
to emergency services, alcohol and drug treat- 
ment programs and law enforcement operations 
related to alcohol and drug abuse. LI 



SPRING 2009 PREVENTION Fl 



LE IS 




All-hazard 

planning 

develops 

capacities and 

capabilities that 

are critical to 

prepare for a 

full spectrum of 

emergencies or 

disasters. 



PREPARED! 



EMERGENCY— a serious situa- 
tion or occurrence that happens 
unexpectedly and demands 
immediate action. Every year colleges and 
universities are called upon to respond to a wide 
variety of emergency and crisis situations — 
ranging from tragic shootings and alcohol- 
fueled disturbances to severe weather events. 
Institutions of higher education face many 
challenges in practicing emergency manage- 
ment related to the distinctive structure and 
environment of higher education. To help them 
meet those challenges the U.S. Department of 
Education recently reteasedAction Guide for 
Emergency Management at Institutions of 
Higher Education. 

IHEs have structures and environments that 
make them quite different from typical busi- 
nesses — they often cover large geographic 
areas, the campus population is in constant 
flux, may operate complex enterprises in addi- 
tion to academic programs, and operate almost 
around the clock. The Guide points out that 
such "structural and environmental char- 
acteristics pose challenges for access control, 
monitoring movements, defining boundaries 
for facilities and grounds, standardizing pro- 
cedures and decision-making processes, and 
prioritizing resource allocations." 



The Guide calls out nine key principles serve 
as the foundation for developing effective emer- 
gency management plans as follows:. 

• Senior leadership on campus. The president, 
chancellor, or provost must initiate and 
support emergency management efforts to 
ensure engagement from the entire campus 
community. 

• Partnerships and collaboration. Every 
department responsible for creating a safe 
environment and enhancing campus func- 
tions must be involved in planning efforts. 

• An "all-hazards" approach to account 
for the full range of hazards that threaten 
or may threaten the campus. Rather than 
managing planning initiatives for a multitude 
of threat scenarios, all-hazard planning devel- 
ops capacities and capabilities that are critical 
to prepare for a full spectrum of emergencies 
or disasters, including natural hazards and 
severe weather, biological hazards, and vio- 
lence and terrorism 

• Four phases of emergency management to 
effectively prepare and respond to emergen- 
cies. Part of the founding principles of com- 
prehensive emergency management when the 
Federal Emergency Management Agency was 
created in 1979 is the four phases of emer- 
gency management: Prevention-Mitigation, 
Preparedness, Response, and Recovery. 



16 



PREVENTION FILE 



HIGHER EDUCATION EDITION 



■ Comprehensive design, while also provid- 
ing for staff, students, faculty, and visitors 
with special needs. Any procedures, products, 
and protocols created to prevent, prepare, 
respond, and recover from an emergency 
also must accommodate people with various 
levels of cognitive ability, knowledge, physi- 
cal capabilities and life experience. 

■ Comprehensive planning process that 
addresses the particular circumstances 
and environment of the institution. The 
plan must be based on the unique aspects of 
the campus. 

• Trainings based on the institution's pre- 
vention and preparedness efforts, priori- 
tized threats, and issues highlighted from 
assessments. Training should be conducted 
in conjunction with community partners, as 
well as integrated with responders' expertise, 
to ensure consistent learning. 

• Tabletop exercises prior to fully adopting 
and implementing the emergency man- 
agement plan. These exercises should cover 
a range of scenarios that may occur on the 
campus, and should be conducted with a 
variety of partners and stakeholders from the 
campus and the community. 

• Disseminate information about the plan 
to students, staff, faculty, community 
partners, and families. General plans and 
procedures can be posted around campus or 
displayed on a Website. 



Emergency Preparedness at 
Purdue 

Purdue University, West Lafayette, IN, is one of 17 
colleges and universities that received an 
U.S. Department of Education Office of Safe and 
Drug-Free Schools Emergency Management for 
Higher Education Grant in 2008. Established in 
cooperation with the Department of Health and 
Human Services' Substance Abuse and Mental 
Health Services Administration, this grant pro- 
gram provide funds for higher education institu- 
tions to develop, or review and improve, and fully 
integrate campus-based all-hazards emergency 
management planning efforts for higher educa- 
tion institutions. 

Purdue has developed a Campus Emergency 
Preparedness and Planning Office (www.purdue. 
edu/emergency_preparedness/) that "strives 
to ensure the Purdue family is prepared for 
emergencies." Purdue's Website illustrates that 
an emergency can cover a wide swath of events, 
including a pandemic flu epidemic and a tor- 
nado. In addition to providing a comprehensive 
emergency preparedness handbook that covers 
events from crime and violence to an electrical 
failure, the Website also links to community 
resources, such as the local crisis center and 
health department and the state and federal 
homeland security offices. 

Like many campuses, Purdue is a large and 
complex institution, with people moving about 
campus freely. In order to get warnings and 
information out to as many people as possible 
as quickly as possible it has developed an emer- 



gency warning notification system called Purdue 
ALERT. It's a multi-layered approach in place to 
help spread the word quickly, based on the cir- 
cumstances. For example, all hazards emergency 
warning sirens alert people to immediately seek 
shelter in a safe location within the closest facil- 
ity or building during a tornado, earthquake, 
release of hazardous materials in the outside air, 
or a civil disturbance. Another communication 
too is text messaging. Purdue University faculty, 
staff and students may sign up to receive an 
emergency notification text message. 

The goal of the Office, which was established 
in 2006, is "to provide a means to utilize all 
available resources to prepare for potential emer- 
gencies or disasters whenever possible and deal 
efficiently with the effects of inevitable events, 
respond to save lives and protect property, and 
promote a means to recover mission critical 
business and academic operations. 

Planning Through Recovery at 
Virginia Tech 

Even with the most careful planning, it is dif- 
ficult to anticipate all the impacts of an emer- 
gency on campus. At the U.S. Department of 
Education's 22nd Annual National Meeting on 
Alcohol and Other Drug Abuse and Violence 
Prevention in Higher Education in November 
2008, Mark McNamee, PhD, senior vice president 
and provost at Virginia Tech, spoke about the 
importance of planning through recovery in the 
aftermath of the April 16, 2007 shootings that 
claimed the lives of 32 students and faculty on 
his campus. 



SPRING 2009 PREVENTION Fl 



LE 17 




McNamee said that there were a number 
of unexpected experiences in the immediate 
aftermath of the shootings. For example, the 
number of individuals impacted and the need 
for services is exponentially amplified by number 
of victims. Regular individuals, not trained in 
emergency services or aware of the institution's 
emergency plan, will be pressed into service. And 
while many campus individuals and units are 
trained and responsible for emergency response, 
untrained individuals will be pressed into service 
and may not have the knowledge of the plan. 

"Red Cross and government officials will 
arrive, and not everyone at the institution will 
understand the legitimate role these organiza- 
tions have in emergency response and man- 
agement. You might be overwhelmed by the 
out-pouring of assistance — helpers will arrive, 
in droves, asking to be assigned a role, and some 
demand VIP treatment," said McNamee. 

According to McNamee, the magnitude of the 
media presence added "trauma" to the campus 



and the victims. "While most were respectful, 
some media members were relentless in their 
pursuit of a 'story' in the immediate aftermath. 
For example, some reporters tried to pass them- 
selves off as family members and/or as clergy 
members to gain access to victims," he said. 

As for the intermediate aftermath of an emer- 
gency or tragedy, McNamee said that campuses 
may draw unwanted attention and attract indi- 
viduals and groups with undesirable agendas to 
the institution. "Also, you may need to address 
the attraction of mentally unstable individuals 
who may be drawn to or relate to the tragedy. 
This will be true at the 'anniversary' of the 
event and other event 'markers.' 

"At Virginia Tech, we assigned a family liai- 
son to work with the families of the deceased. 
This idea was good on many levels: it helped 
provide on-site and local assistance, initially 
helped with communications," said McNamee. 
However, he added, the liaisons could have 
benefitted from the help from a trained victim 



assistance person the ability to access victim ser- 
vices, such as compensation and other resources. 

McNamee pointed out that accepting dona- 
tions and funds are a mixed blessing. "Trauma 
and grief are emotions of action. Virginia Tech 
was flooded with food that could not be used in 
the immediate aftermath; followed by flowers, 
gifts, banners, teddy bears, candles, hundreds 
upon hundreds of town/county/government 
proclamations. Gifts need to be acknowledged, 
archived, and — eventually — you will need to 
articulate a disposal policy. Funds received may 
challenge your institution's federal and state 
tax-exempt status. It is a challenge to manage 
monetary gifts — are they to be distributed to the 
victims? Do you want to establish a reimburse- 
ment system? Are funds intended for the institu- 
tion? These questions are difficult to answer in 
the immediate aftermath and may shape the 
relationship you develop with the families of 
deceased and injured victims." 




The press shows up at Virginia Tech. 



18 



PREVENTION FILE : HIGHER EDUCATION EDITION 



Editor's note: For a copy of the Action Guide 



)r Emergency Management at 



of Higher Education go to www.ed.gov/ 
emergecyplan. For the full presentation 
by Mark McNamee go to rems. ed.gov/ 
views/documents/EMHE 20081118MN 



U.S, DEPARTMENT OF EDUCATION 

Action Guide for Emergency 

Management at Institutions of 

Higher Education 




cove 



PlenaryMcNamee.ppt 






College Drinking: 
Reframing a Social 
Problem 

By George W. Dowdall 

Praeger, 2009 

ISBN: 978-0-275-99981-0 

PROBLEMS RELATED TO 
STUDENT DRINKING have a 
long history at colleges and 
universities. In fact, surveys of campus officials, 
faculty and even students find that alcohol 
problems rank high among campus life issues. 
George Dowdall, PhD, is a professor of sociology 
at St. Joseph's University with over three decades 
of experience on college campuses at institu- 
tions ranging from Harvard to UCLA. In 2000, 
he was an American Sociological Association 
Congressional Fellow with then U.S. Senator 
Joseph Biden of Delaware. His academic experi- 
ence along with a well-grounded understand- 
ing of the research literature surrounding 
college drinking and working relationships 
with many of the people who have shaped 
that research have led to College Drinking: 
Reframing a Social Problem. In this new 
book, Dowdall advocates for an upstream per- 
spective when it comes to drinking by college 
students. By that he means understanding the 
broader cultural, organizational and social 
forces shaping collegiate drinking behavior. 

"Much of the research literature about col- 
lege drinking looks at downstream behavior 



COLLEGE..,.-....- 

drInking 



REFRAMING A SOCIAL PR0B1; 




at individual colleges, well after students have 
begun drinking and after they've chosen a 
particular college. College drinking is part of 
a pervasive and deep-rooted college culture, 
one that shapes individual student behavior 
as well as the organizational responses that 
higher education had made to this behavior, 
But like all real cultures, this one is filled with 
contradictions and serves different interests in 
different ways. Students and their parents place 
it at the top of the list of problems colleges face; 
presidents, administrators, and faculty treat 
this problem differently," says Dowdall in the 
book's preface. 

Dowdall covers college drinking as it has 
evolved as an issue in recent decades and why 
students engage in excessive drinking, as well 
as adverse consequences associated with drink- 
ing, such as health problems, poor academic 
performance and campus crime. The book 
also examines the links between college drink- 
ing, social life, and sex; public alcohol policy 
and college drinking; the response of higher 
education to the problem to date; additional 



measures and strategies that colleges and uni- 
versities could employ; and what students and 
parents can do to cope with college drinking, 
including strategies for choosing which college 
to attend. 

In the chapter on public alcohol policy and 
college drinking, Dowdall argues that public 
alcohol policy is one of the important factors 
shaping college drinking. "Alcohol policies 
shape how alcohol is produced, distributed, 
marketed, and sold; what can be done about 
college drinking; and even the discourse about 
college prevention programs. Recent evidence 
supports the argument that upstream factors 
like policy may be as important — or even more 
important — than downstream efforts to prevent 
or control individual drinking." 

College Drinking: Reframing a Social 
Problem provides a wealth of material and 
resources to assist professionals and general 
readers alike gain a greater understanding of 
a social problem that routinely commands 
public attention in the media. In addition, the 
book suggests actions that the public, officials 
at institutions of higher education, and par- 
ents and students alike can take to address the 
behavior of high risk drinking by students and 
reduce problems that impact not just students 
and their families, but campuses and surround- 
ing communities. O 

Editor's note: For an interview with George 
Dowdall on his book visit Inside Higher 
Education at www. insidehighered. com/ 
news/2009/02/26/drinking 



20 pr 



EVENTION FILE 



HIGHER EDUCATION EDITION 



Continued from inside front cover 



"If moderation of alcohol 
consumption in certain 
groups is strived for, it 
may be sensible to cut 
down on the portrayal of 
alcohol in programmes 
aimed at these groups 
and the commercials 
shown in between." 

Smart Drug Danger 

A recent small study has 
found that a so-called 
smart drug used as an 
illegal study aid by college students may 
carry more of an addiction risk than thought. 
Scans of ten healthy men showed that the 
prescription drug Provigil caused changes in 
the brain's pleasure center, very much like 
potentially habit-forming classic stimulants. 

"It would be wonderful if one could take 
a drug and be smarter, faster or have more 
energy," Nora Volkow, MD, director of 
the National Institute on Drug Abuse, who 
led the study with a Brookhaven National 
Laboratory scientist, said in an Associated 
Press dispatch. "But that is like fairy tales. 
We currently have nothing that has those 
benefits without side effects." 

According to AP, Modafinil's reputation as a 
brain enhancer stems from an Air Force study 
that found it improved the performance of 
sleep-deprived fighter pilots. 

Good Neighbor Policy 

The University of Wisconsin Board of Regents 
is considering a proposal to extend the dis- 
ciplinary reach of state universities beyond 
campus grounds in response to complaints 
from residents in areas near campuses. Under 



the current code, university officials can dis- 
cipline students for on-campus misconduct, 
but the code is less than clear about off- 
campus behavior. The university can punish 
students who commit assaults and damage 
property off campus if the victims are other 
university students or employees, but the 
code does not specify what the university 
can do in other cases. The last major revision 
of rules regarding non-academic disciplinary 
action occurred in 1996. 

The new policy would allow university offi- 
cials to discipline students for off-campus 
actions if they fit into one of 1 6 specific 
categories and affect a substantial university 
interest. The 16 categories of behavior in 
the new policy range from sexual assault or 
property damage to "serious or repeated 
violations of municipal law." A student is 
subject to discipline, up to suspension or 
expulsion, if his or her off-campus behavior 
fits into one of these categories. 

The proposed changes came out of a 
committee convened in February 2007 
by the Board of Regents. The revised rules 
are expected to take effect Fall 2009, 
after Board of Regents and state legislative 
review. 

California Campuses Welcome Vets! 

The Post-9/1 1 Veterans Educational 
Assistance Act, passed into law in 2008, 
takes effect on Aug. 1 , 2009. A veteran 
enrolled as a full-time student taking 1 2 
units is eligible to receive assistance in col- 
lege tuition and fees, a book stipend and 
monthly housing allowance. Campuses 
throughout the country are expecting more 
students from the more than 1 .6 million 



Americans who have served in Iraq and 
Afghanistan. In California alone, about 
28,000 men and women a year muster out 
of active-duty service. 

According to the Los Angeles Times (Mar.4, 
2009) San Diego State University, which is 
located in the nation's largest military com- 
munity, is one campus that is determined 
to make the campus a leader in attracting 
veterans and supporting their educational 
endeavors. A veterans center has been 
established and fundraising continues 
for scholarships (Wal-Mart contributed 
$1 00,000). There is talk of creating military- 
only housing along fraternity row. 

Vietnam veteran Jim Kitchen, now vice 
president for student affairs at SDSU, told 
the Times that he remembers his alienation 
when he returned to college in the Midwest 
after serving in the Army. "I was very bitter," 
Kitchen said. "We're not going to let that 
happen to these veterans." 

Other campuses in the California State 
University system are also involved under 
the governor's Troops to College program, 
which was established in 2006. In an agree- 
ment between California State University 
officials and the military, each year a total of 
1 1 5 military personnel, selected by generals 
and admirals, will be guaranteed admission 
to one of the system's campuses. Other vet- 
erans will have their applications evaluated 
separately from civilian applicants. 




oncerned about 
alcohol, other drugs, 
or violence on campus 



Our Services 
•Training 

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•Website 
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www.higheredcenter.org 
800-676-1730 



Ask us about — 

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approaches to prevention 

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coalitions 

•Strategic planning 
and evaluation 



The U.S. Department of Education's 

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for Alcohol and Other Drug Abuse 



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